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General NPI Number Information
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NPI Number | 1922164177
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Entity Type | Individual
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Provider Name | CATHERINE MARIE SMITHMYER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 155 LOG CANOE CIR
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City | STEVENSVILLE
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State | MD
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Zip | 21666
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Country | US
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Telephone | 410-604-0226
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Fax | 877-643-0126
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Provider Business Mailing Address
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Address Line | 155 LOG CANOE CIR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2127
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Country | US
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Telephone | 410-604-0226
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Fax | 877-643-0126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 03850
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 03850
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 03850
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 03850
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License Number State | MD
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